9 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Clockwise) Atrial Flutter ... Clockwise) Atrial Flutter ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... CTI-independent flutter ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Atrial Flutter on EKG
 • Regularly-occurring atrial activity
 • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... depolarizations (i.e. flutter ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... Clockwise #Atrial #Flutter ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Sinus Tachy w/ BBB ... DANGER (4) Vfib/flutter ... (2) Atrial flutter ... absent P (2) A flutter ... #EKG #diagnosis
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
- Differential Diagnosis ... (AVNRT, OAVRT, AFIutter ... Don't rely on criteria ... Tachycardia: • AFib > AFIutter ... /LBBB or identical
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Remember that RBBB ... STEMI Criteria misses ... - Sam Ghali, M.D ... #EKG #Electrocardiogram ... #Clinical #Cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... = Atrial Flutter ... @AmyChung #EKG ... Electrocardiogram #cardiology ... #diagnosis #system